Georgia Medicaid offers several different programs to provide services for low-income adults, the elderly, people with disabilities, families, and children.
These programs cover services like substance abuse treatment, other behavioral health needs, and primary care.
Learn more about how to use Medicaid to pay for addiction treatment
Georgia Medicaid Plans And Programs
There are many options in plans and programs offered under Georgia Medicaid.
Georgia Medicaid Plans
To use Georgia Medicaid to cover drug and alcohol rehab, you’ll first need to select a plan. These plans are called managed care organizations (MCOs).
Plans currently offered with Georgia Medicaid are:
- Amerigroup Community Care
- CareSource
- Peach State Health Plan
- WellCare
Programs Offered Under Georgia Medicaid
There are also different programs offered through Georgia Medicaid to provide further assistance.
Each program is tailored to meet the needs of individuals within certain demographics.
A few of the programs offered include:
- Health Insurance Premium Payment Program (HIPP): for adults who are employed
- Georgia Electronic Visit Verification: available for all Medicaid members
- Medicaid Subrogation, Estate Recovery and Special Needs Trust: available for all Medicaid members
- Non-Emergency Medical Transportation: provides transportation services for all Medicaid members
- Patients First Act: available for all Medicaid members
- Right from the Start Medical Assistance Group (RSM): available for all Medicaid members
What Addiction Treatment Services Are Covered By Georgia Medicaid?
Each MCO has a specific set of covered services. Refer to the member handbook of your chosen MCO to determine which services are covered.
Some of the substance abuse and mental health services covered by Georgia Medicaid include:
- hospital stays
- inpatient treatment
- rehabilitation services
- prescription medications
- individual, family, and group therapy
- outpatient programs (OP)
- intensive outpatient program (IOP)
- medication-assisted treatment (MAT)
- narcotic treatment program (NTP)
- partial hospitalization program (PHP)
- medication management
For more treatment options, view our list of detox and rehab centers in Georgia
Top 5 Rehab Centers In Georgia That Accept Medicaid
In the state of Georgia, many mental and behavioral health treatment centers accept Medicaid as a form of payment.
We’ve picked five rehab centers for this list based on the following criteria:
- accreditation
- verifications and certifications
- client testimonials
- use of evidence-based treatment methods
- Google ratings
1. Breakthrough Recovery Outreach, Atlanta, Georgia
This is a holistic treatment facility accepting those ages 13 and up.
Their rehab facility meets the following criteria:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- approval from the National Association for Alcoholism and Drug Abuse Counselors (NAADAC)
- a 4.7-star Google rating
Location and contact information:
3648 Chamblee Tucker Rd.
Suite G
Atlanta, GA 30341
(770) 493-7750
2. New Day Treatment Center, Atlanta, Georgia
This treatment center accepts Medicaid for their methadone and Suboxone MAT programs.
Trusted features of this rehab center include:
- positive client testimonials
- evidence-based treatment
Location and contact information:
2563 MLK Jr. Dr. SW
Atlanta, GA 30311
(404) 998-8908
3. Recovery Consultants of Atlanta, Atlanta, Georgia
Recovery Consultants of Atlanta provides primary care, behavioral health care, psychiatric services, and more.
Top qualities of the substance abuse program include:
- CARF accreditation
- recognition from the National Health Service Corps (NHSC)
The outpatient program here incorporates:
- motivational interviewing
- cognitive behavioral therapy (CBT)
- peer support
Location and contact information:
4229 Snapfinger Woods Dr.
Decatur, GA 30035
(404) 286-9252
4. River Edge Behavioral Health, Multiple Locations
Here, addiction recovery options include outpatient treatment, residential treatment and detox, housing, and more.
Both Medicaid and Medicare are included in the list of accepted insurance plans.
The substance abuse treatment program is backed by:
- CARF accreditation
- positive client testimonials
Substance abuse services are available in Milledgeville and Macon, Georgia.
Location and contact information:
60 Blandy Way
Milledgeville, GA 31061
(478) 451-2700
5. Willow Oak Community Behavioral Health Center, Newnan, Georgia
Here, substance abuse services include therapy, assessment, and drug testing.
These behavioral health services are backed by:
- verification from Psychology Today
- accreditation from CARF
- accreditation from the Better Business Bureau (BBB)
- recognition from the National Health Service Corps (NHSC)
Location and contact information:
37 Calumet Parkway Bldg. J
Suites 101 & 102
Newnan, GA 30263
(770) 683-6946
Factors That Affect Georgia Medicaid Coverage For Addiction Treatment
The following costs and factors may affect how much you’ll pay out of pocket for addiction and mental health treatment services.
Copays For Substance Use Disorder Treatment
Copayments may be required for several drug and alcohol treatment programs. Depending on the CMO, you may need to cover copays between $1 and $12.50.
Getting Prior Authorization
For some MCOs, you may need to get prior authorization (PA) for addiction treatment services and medications.
This is a process of evaluating whether the service is medically necessary.
PA is usually not needed for services obtained within the network of physicians of your selected MCO. However, if you need to get treatment outside of that network, you might need to get PA.
What Are The Qualifications For Eligibility For Georgia Medicaid Drug Rehab?
Those who qualify for Georgia Medicaid include low-income individuals who are:
- pregnant
- diagnosed with breast or cervical cancer
- a child or teenager 18 years or under
- over the age of 65
- blind
- disabled
- in need of nursing home care
Georgia Medicaid Income Eligibility Requirements
There are income limitations for those seeking medical assistance through Georgia Medicaid. These income limits are based on the federal poverty level (FPL).
Here are the annual income limits for those who are 200% of the FPL:
- one-person household: $25,764
- two-person household: $34,848
- three-person household: $43,920
- four-person household: $53,004
Using Your Georgia Medicaid Plan For Drug Rehab
It’s important to first review the covered services of each MCO. Ensure that the plan you select includes the treatment services you need for your recovery.
Then, find a recovery center that accepts Georgia Medicaid.
You can work with the treatment specialists at the rehab center to create an individualized plan that works within the services covered by Medicaid.
FAQs For Georgia Medicaid Coverage Of Drug Rehab Centers
Use the information below to learn more about Medicaid insurance coverage for rehab programs in Georgia.
Is Detox Covered By Georgia Medicaid?
Currently, there are no care management organizations that cover detoxification services. To get detox, you may need to cover the costs out of pocket.
What Opioid Withdrawal Medications Are Covered By Georgia Medicaid?
Georgia Medicaid covers the following opioid addiction treatment medications:
- buprenorphine/naloxone (Suboxone)
- naltrexone (Vivitrol)
Do All Rehab Centers In Georgia Accept Medicaid?
Not every rehab center for alcohol and drug addiction accepts Medicaid. Some programs only accept private health insurance or self-payment.
Find A Rehab Center In Georgia That Takes Medicaid
For further guidance on finding a rehab facility that takes Georgia Medicaid, call our helpline.
Our representatives are prepared to go over your options with you to find treatment for yourself or a loved one covered by Medicaid. Reach out today to learn more.
Article Sources- American Society of Addiction Medicine (ASAM)—Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
https://www.asam.org/docs/default-source/advocacy/State-medicaid-reports/State-medicaid-reports_ga.pdf - CareSource—2021-2022 MEMBER HANDBOOK
https://www.caresource.com/documents/ga-families-member-handbook-508/ - Georgia Medicaid—Care Management Organizations (CMO)
https://medicaid.georgia.gov/programs/all-programs/georgia-families/care-management-organizations-cmo - Georgia Medicaid—Eligibility FAQs
https://medicaid.georgia.gov/eligibility-faqs - Georgia Medicaid—Programs
https://medicaid.georgia.gov/programs